| Theme |
To prevent from complication in colonoscopy |
| Title |
Complications with metallic stent endoprosthesis for obstructive colorectal cancers |
| Author |
Yoshihisa Saida |
The Third Department of Surgery, Toho University School of Medicine |
| Author |
Yoshinobu Sumiyama |
The Third Department of Surgery, Toho University School of Medicine |
| Author |
Jiro Nagao |
The Third Department of Surgery, Toho University School of Medicine |
| Author |
Iruru Maetani |
The Third Department of Internal Medicine, Toho University School of Medicine |
| [ Summary ] |
The development of expandable metallic stent endoprosthesis for colorectal obstructions has been somewhat delayed, compared to other digestive tract procedures for treatment of anatomical abnormalities of the large bowel. Recently, many clinical cases concerning the application of metallic stents for rectal malignant stenosis have been reported around the world as well as in Japan. However, because it is a relatively new procedure, review and analysis of the reports on the stents in comorbid cases is a matter of great importance to us. The major complications with stent placement for colorectal stenosis are perforation and migration. Complication rates are not high but, once it happens, there is a potential for severe long term complications. Therefore, stent placement must be handled with the utmost care. Here in procedures were described from actual cases, including some advise. An exclusive stent and an associated kit are being developed for sale. Development of an exclusive stent for use in the colon or rectum would promote the popularization of metallic stent endoprosthesis for colorectal obstructions being popularized as an adjunct to therapeutic endoscopic treatment. |